STRATEGY STUDIO / PUBLIC DATA EXPLORER

BARTON CREEK SENIOR LIVING CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BARTON CREEK SENIOR LIVING CENTER INC (EIN 20-1203479)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202243199349315219
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T13:23:12-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201203479EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BARTON CREEK SENIOR LIVING CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBARTBusinessNameControlTxt
Phone5152885805PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICK HARSHFIELDPersonNm
Person TitleCFO & TREASURERPersonTitleTxt
Phone5152885805PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNICKPersonFirstNm
Person LastHARSHFIELDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJED CHENEYPreparerPersonNm
PTINP01587750PTIN
Phone6123764500PhoneNum
Preparation2022-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1QUERENCIA AT BARTON CREEKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJESSE JANTZENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,563,979GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.QUERENCIABARTONCREEK.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionCREATE COMMUNITIES CELEBRATING THE LIVES OF SENIORSActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee323TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$644,224PYContributionsGrantsAmt
CY Contributions Grants$65,872CYContributionsGrantsAmt
PY Program Service Revenue$22,382,896PYProgramServiceRevenueAmt
CY Program Service Revenue$24,088,943CYProgramServiceRevenueAmt
PY Investment Income$3,439,718PYInvestmentIncomeAmt
CY Investment Income-$465,747CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$26,466,838PYTotalRevenueAmt
CY Total Revenue$23,689,068CYTotalRevenueAmt
PY Grants And Similar Paid$1,048,258PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,260,739CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,158,986PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,959,754CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$23,007,988PYOtherExpensesAmt
CY Other Expenses$21,510,023CYOtherExpensesAmt
PY Total Expenses$34,215,232PYTotalExpensesAmt
CY Total Expenses$33,730,516CYTotalExpensesAmt
PY Revenues Less Expenses-$7,748,394PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,041,448CYRevenuesLessExpensesAmt
Total Assets BOY$124,389,534TotalAssetsBOYAmt
Total Assets EOY$120,925,043TotalAssetsEOYAmt
Total Liabilities BOY$134,454,228TotalLiabilitiesBOYAmt
Total Liabilities EOY$140,509,821TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$10,064,694NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$19,584,778NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. LIFESPACE RECOGNIZES THAT ITS MISSION CAN ONLY BE FULFILLED THROUGH THE DEDICATED EFFORTS OF ITS EMPLOYEES, THEREFORE, INCLUDED IN OUR MISSION IS THE ABILITY TO PROVIDE DISASTER RELIEF FUNDS TO EMPLOYEES WHO ENCOUNTER CIRCUMSTANCES RECOGNIZED BY FEDERAL AND STATE AGENCIES AS QUALIFYING FOR EMERGENCY DISASTER RELIEF.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$28,570,368ExpenseAmt
Grant$2,260,739GrantAmt
Revenue$24,088,943RevenueAmt
DescTO PROVIDE APARTMENTS AND HEALTH CARE FOR RETIRED PERSONS. RESIDENTS PAY AN INITIAL ENTRANCE FEE AND MONTHLY FEES THEREAFTER WHICH ENTITLE THEM TO USE OF THE COMMUNITY FOR LIFE AND UNLIMITED USE OF THE HEALTH CENTER. RESIDENTS DO NOT ACQUIRE TITLE TO THE PROPERTY.Desc
Total Program Service Expenses$28,570,368TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document55IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee323EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIM NEVINSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5152885805PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JESSE JANTZEN
PRESIDENT & CEO & DIRECTOR2.0040.50Yes (X)Yes (X)$0$911,488$15,857
NICK HARSHFIELD
CFO & TREASURER2.0040.50Yes (X)Yes (X)$0$462,933$15,653
EDDIE FENOGLIO
COO AND SECRETARY2.0040.50Yes (X)Yes (X)$0$454,617$10,480
SANDRA PARKER
GENERAL COUNSEL & SECRETARY (JUL-DEC)2.0040.50Yes (X)Yes (X)$0$286,586$2,387
NATHAN WAYAND
EXECUTIVE DIRECTOR40.00$249,866$0$24,186Yes (X)
TIM STUTEVILLE
ASSOCIATE EXECUTIVE DIRECTOR40.00$184,611$0$10,695Yes (X)
TIFFANY TELLO
ADMINISTRATOR40.00$158,237$122,977$30,303Yes (X)
AMY JANAK
DIRECTOR OF SALES40.00$137,949$0$2,829Yes (X)
DOROTHY SCARBOROUGH
SALES COUNSELOR1.00$126,488$0$760Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$857,151TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,238,601TotReportableCompRltdOrgAmt
Total Other Compensation$113,150TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THOMAS MANAGEMENT LLC
700 E FRANKLIN ROADMERIDIANID83642CULINARY SERVICES$1,359,215
THE BRIDGE GROUP CONSTRUCTION
PO BOX 270394FLOWER MOUNDTX75027CONSTRUCTION$575,043
UNIDINE CORPORATION
PO BOX 102289ATLANTAGA30368FOOD$494,578
SELECT REHABILITATION LLC
PO BOX 71985CHICAGOIL60694PHYSICAL THERAPY$460,027
EIGHT TWENTY 8 DESIGN LLC
10422 MENCHACA RDAUSTINTX78748DESIGN SERICES$321,030
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Government Grants$65,872GovernmentGrantsAmt
Total Contributions$65,872TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INDEPENDENT LIVING531110$11,987,900$11,987,900
SKILLED NURSING623000$11,043,915$11,043,915
ENTRANCE FEES531110$1,057,128$1,057,128
FieldValueIRS element (for citing)
Total Program Service Revenue$24,088,943TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$490,133TotalRevenueColumnAmt
Exclusion$490,133ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,919,031SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,868,567SecuritiesAmt
Other$6,344OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$949,536SecuritiesAmt
Other-$6,344OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$955,880TotalRevenueColumnAmt
Exclusion-$955,880ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,689,068TotalRevenueColumnAmt
Related Or Exempt Func Income$24,088,943RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$465,747ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,003,782TotalAmt
Program Services$1,003,782ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,256,957TotalAmt
Program Services$1,256,957ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,031,262TotalAmt
Program Services$6,425,010ProgramServicesAmt
Management And General$1,606,252ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$50,661TotalAmt
Program Services$40,529ProgramServicesAmt
Management And General$10,132ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,281,947TotalAmt
Program Services$1,025,558ProgramServicesAmt
Management And General$256,389ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$595,884TotalAmt
Program Services$476,707ProgramServicesAmt
Management And General$119,177ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,741,947TotalAmt
Program Services$1,654,850ProgramServicesAmt
Management And General$87,097ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,767TotalAmt
Management And General$2,767ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$833TotalAmt
Management And General$833ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,306,787TotalAmt
Management And General$2,306,787ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$243,274TotalAmt
Program Services$194,619ProgramServicesAmt
Management And General$48,655ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$203,746TotalAmt
Management And General$203,746ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$669,702TotalAmt
Program Services$669,702ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,508TotalAmt
Program Services$28,406ProgramServicesAmt
Management And General$7,102ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,217,106TotalAmt
Program Services$2,217,106ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,489,245TotalAmt
Program Services$9,014,783ProgramServicesAmt
Management And General$474,462ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$342,163TotalAmt
Program Services$335,320ProgramServicesAmt
Management And General$6,843ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL AND OTHER RESID$1,713,874$1,713,874
OTHER GENERAL AND ADMIN$1,047,427$1,047,427
PLANT OPERATIONS$1,045,602$1,045,602
REAL ESTATE TAXES$299,063$269,157$29,906

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$150,979TotalAmt
Program Services$150,979ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,730,516TotalAmt
Program Services$28,570,368ProgramServicesAmt
Management And General$5,160,148ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,685,351BOYAmt
EOY$2,297,195EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$671,713BOYAmt
EOY$299,662EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$113,128BOYAmt
EOY$40,286EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$255,560BOYAmt
EOY$478,921EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$76,726,646LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,669,468LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$72,103,351BOYAmt
EOY$72,057,178EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$21,112,769BOYAmt
EOY$21,341,778EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$15,214,909BOYAmt
EOY$12,932,633EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,232,753BOYAmt
EOY$11,477,390EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$124,389,534BOYAmt
EOY$120,925,043EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,496,760BOYAmt
EOY$2,345,481EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,690,000BOYAmt
EOY$43,300,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$760,000BOYAmt
EOY$950,500EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$205,797BOYAmt
EOY$142,308EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,301,671BOYAmt
EOY$93,771,532EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$134,454,228BOYAmt
EOY$140,509,821EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$10,064,694BOYAmt
EOY-$19,584,778EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$10,064,694BOYAmt
EOY-$19,584,778EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$124,389,534BOYAmt
EOY$120,925,043EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,041,448ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$521,954NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$590OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,796CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$644,224CurrentTaxYearMinus1YearAmt
Current Tax Year$65,872CurrentTaxYearAmt
Total$713,892TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,110,368CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,057,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,854,631CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,382,896CurrentTaxYearMinus1YearAmt
Current Tax Year$24,088,943CurrentTaxYearAmt
Total$109,494,641TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,114,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,057,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,854,631CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,027,120CurrentTaxYearMinus1YearAmt
Current Tax Year$24,154,815CurrentTaxYearAmt
Total$110,208,533TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$110,208,533PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$528,821CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$768,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$596,221CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$520,025CurrentTaxYearMinus1YearAmt
Current Tax Year$490,133CurrentTaxYearAmt
Total$2,903,769TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$528,821CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$768,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$596,221CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$520,025CurrentTaxYearMinus1YearAmt
Current Tax Year$490,133CurrentTaxYearAmt
Total$2,903,769TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$232,166CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$124,419CurrentTaxYearMinus3YearsAmt
Total$356,585TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,875,151CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,950,791CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,450,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,547,145CurrentTaxYearMinus1YearAmt
Current Tax Year$24,644,948CurrentTaxYearAmt
Total$113,468,887TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97130PublicSupportCY509Pct
Public Support PY5090.96940PublicSupportPY509Pct
Investment Income CY0.02560InvestmentIncomeCYPct
Investment Income PY0.02630InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,000,000OtherCostOrOtherBasisAmt
Book Value$5,000,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,707,401OtherCostOrOtherBasisAmt
Depreciation$4,395,096DepreciationAmt
Book Value$63,312,305BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,775,714OtherCostOrOtherBasisAmt
Depreciation$274,372DepreciationAmt
Book Value$1,501,342BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,243,531OtherCostOrOtherBasisAmt
Book Value$2,243,531BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$72,057,178TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
MARKETING COMMISSIONS$89,189
NONCURRENT ASSETS LIMITED AS TO USE$8,574,753
ASSETS LIMITED AS TO USE$2,104,213
INTERCOMPANY RECEIVABLES$709,235
FieldValueIRS element (for citing)
Total Book Value Other Assets$11,477,390TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$234,498
DEFERRED & REFUNDABLE ENTRANCE FEES$93,537,034
FieldValueIRS element (for citing)
Total Liability$93,771,532TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:ESCROW AND CUSTODIAL ARRANGEMENTS THE ORGANIZATION REQUIRES FUTURE RESIDENTS WISHING TO RESERVE SPACE AT THE COMMUNITY TO PAY A DEPOSIT OF $15,000 OF THE ADVANCE FEE WHICH WILL BE REQUIRED UPON RESIDENCY. THE DEPOSITS ARE HELD IN AN INTEREST-BEARING ACCOUNT UNTIL RESIDENCY IS ESTABLISHED AT WHICH TIME THE RESIDENT PAYS THE BALANCE OF THE REQUIRED ENTRANCE FEE. THE RESIDENT'S DEPOSIT IS RESTRICTED BY THE TEXAS DEPARTMENT OF INSURANCE UNTIL THE RESIDENT TAKES OCCUPANCY OF AN APARTMENT.
PART X, LINE 2:QUERENCIA HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN DESIGNATED AS A PUBLICLY SUPPORTED ORGANIZATION (RATHER THAN A PRIVATE FOUNDATION). QUERENCIA EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING ITS TAX RETURNS TO DETERMINE WHETHER IT IS "MORE LIKELY THAN NOT" THAT EACH TAX POSITION WOULD BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, QUERENCIA HAS NOT RECORDED ANY SUCH TAX BENEFIT OR EXPENSE IN THE ACCOMPANYING FINANCIAL STATEMENTS. NO EXAMINATIONS ARE IN PROGRESS OR ANTICIPATED AT THIS TIME. QUERENCIA'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2018 THROUGH DECEMBER 31, 2021.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
LIFESPACE COMMUNITIES INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266421068850501(C)(3)$973,000$0N/AN/ACAPITAL CONTRIBUTIONS
LIFESPACE FOUNDATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266421370848501(C)(3)$30,782$0N/AN/ATRANSFER OF FOUNDATION FUNDS

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHARDSHIP ASSISTANCE - REDUCTION OF FEESGrantTypeTxt
Recipient13RecipientCnt
Cash Grant$1,256,957CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceRESIDENTS DO FROM TIME TO TIME SEEK FINANCIAL ASSISTANCE BY REQUESTING ASSISTANCE WITH THE MONTHLY FEE. SINCE THESE RESIDENTS HAVE SIGNED A LIFE CARE CONTRACT, THE ORGANIZATION IS OBLIGATED TO LET THEM CONTINUE TO LIVE IN THE COMMUNITY. MANAGEMENT SHALL REVIEW CRITERIA TO DETERMINE WHETHER THE RESIDENT IS A CANDIDIATE TO RECEIVE A HARDSHIP DISCOUNT. IF THE RESIDENT QUALIFIES FOR A HARDSHIP DISCOUNT, THE DISCOUNT WILL BEGIN TO BE DEDUCTED FROM THE MONTHLY FEES.NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION CAN EASILY MONITOR THE USE OF THE GRANTS TO INDIVIDUALS BECAUSE THE GRANTS ARE SIMPLY REDUCTIONS OF THE MONTHLY FEES AND ENTRANCE FEES THAT THE RESIDENT WOULD OWE IF THE HARDSHIP ASSISTANCE WAS NOT GRANTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JESSE JANTZEN
PRESIDENT & CEO & DIRECTOR$0$648,173$0$216,143$0$47,172$0$7,810$0$8,047$0$927,345$0$0
NICK HARSHFIELD
CFO & TREASURER$0$377,264$0$58,079$0$27,590$0$5,940$0$9,713$0$478,586$0$0
EDDIE FENOGLIO
COO AND SECRETARY$0$425,000$0$150$0$29,467$0$1,804$0$8,676$0$465,097$0$0
SANDRA PARKER
GENERAL COUNSEL & SECRETARY (JUL-DEC$0$167,308$0$118,268$0$1,010$0$0$0$2,387$0$288,973$0$0
NATHAN WAYAND
EXECUTIVE DIRECTOR$197,556$0$45,094$0$7,216$0$7,496$0$16,690$0$274,052$0$0$0
TIM STUTEVILLE
ASSOCIATE EXECUTIVE DIRECTOR$146,253$0$35,416$0$2,942$0$5,538$0$5,157$0$195,306$0$0$0
TIFFANY TELLO
ADMINISTRATOR$142,014$58,651$13,506$51,150$2,717$13,176$4,747$6,819$10,737$8,000$173,721$137,796$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE J, PART IIFormAndLineReferenceDesc
ExplanationCOMPENSATION OF THE EXECUTIVE DIRECTOR THE EXECUTIVE DIRECTOR, ADMINISTRATOR, DIRECTOR OF NURSING, AND DIRECTOR OF SALES WAS PAID THROUGH A RELATED SUPPORTING ORGANIZATION. THE PAYROLL WAS PAID THROUGH A DIFFERENT RELATED NON-PROFIT ORGANIZATION, LIFESPACE COMMUNITIES, INC. (EIN: 42-1068850).ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TARRANT COUNTY CULT ED FACILITIES FINANCE CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043833551BondIssuerEIN
CUSIP87638RFP7CUSIPNum
Bond Issued2015-10-29BondIssuedDt
Issue Price$52,019,415IssuePriceAmt
PurposeREFUND PRIOR ISSUE (9/29/05)PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$7,390,000RetiredAmt
Total Proceeds$52,647,893TotalProceedsAmt
In Reserve Fund$3,615,428InReserveFundAmt
Capitalized Interest$87,819CapitalizedInterestAmt
Issuance Costs From Proceeds$1,040,388IssuanceCostsFromProceedsAmt
Capital Expenditures$12,499,414CapitalExpendituresAmt
Other Spent Proceeds$37,079,732OtherSpentProceedsAmt
Unspent$1,411,415UnspentAmt
Substantial Completion2019SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00300PrivateBusUseByOthersPct
Total Private Business Use0.00300TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds InvestedYes (1)GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: TARRANT COUNTY CULT. ED. FACILITIES FINANCE CORP DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2020
PART II, LINE 3THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
PART II, LINE 3THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 -12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE BYLAWS OF THE ORGANIZATION PROVIDE FOR AN EXECUTIVE COMMITTEE, BUT AT THIS TIME THE COMMITTEE IS NOT ACTIVE. IF THE COMMITTEE DOES COMMENCE MEETINGS, IT WILL CONTEMPORANEOUSLY DOCUMENT MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN DURING THE YEAR CONSISTENT WITH EXISTING PRACTICES OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD, THE VICE CHAIR OF THE BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD, THE CHAIR OF THE GOVERNANCE AND NOMINATING COMMITTEE AND, AS AN EX-OFFICIO MEMBER, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. EXCEPT AS LIMITED HEREIN, AND EXCEPT FOR RESPONSIBILITIES DELEGATED TO ANOTHER COMMITTEE, THE EXECUTIVE COMMITTEE SHALL POSSESS AND MAY EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS IN THE OVERSIGHT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, EXCEPT AS HEREIN PROVIDED. THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWERS OF THE BOARD OF DIRECTORS WITH RESPECT TO AUTHORIZING DISTRIBUTIONS; APPROVING DISSOLUTION, MERGER, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; ELECTING, APPOINTING, OR REMOVING DIRECTORS OR FILLING VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY OF ITS COMMITTEES; OR ADOPTING, AMENDING, REPEALING THE ARTICLES OF INCORPORATION OR THE BYLAWS, OR THE APPOINTMENT OR REMOVAL OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE PRIMARY PURPOSE OF THE COMMITTEE IS TO ENABLE THE BOARD OF DIRECTORS TO ACT WHERE AN ASSEMBLY OF A QUORUM OF THE BOARD WOULD BE IMPRACTICABLE OR IMPOSSIBLE. THE COMMITTEE ALSO SHALL SERVE AS AN ADVISOR TO THE PRESIDENT AND CEO, PROVIDING CONSULTATION, SUPPORT AND GUIDANCE ON AN INFORMAL BASIS AS REQUESTED FROM TIME TO TIME, AND REVIEW AND APPROVE BOARD MEETING AGENDAS.
FORM 990, PART VI, SECTION A, LINE 6LIFESPACE COMMUNITIES, INC. IS THE SOLE MEMBER OF BARTON CREEK SENIOR LIVING CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7ALIFESPACE COMMUNITIES, INC. HAS THE AUTHORITY TO ELECT THE MEMBERS OF THE GOVERNING BODY OF BARTON CREEK SENIOR LIVING CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF DIRECTORS OF LIFESPACE COMMUNITIES, INC. HAS RESERVED POWERS OVER CERTAIN GOVERNANCE DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT PERFORMS A THOROUGH REVIEW OF THE FORM 990. A COPY OF THE FORM 990 WILL BE DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. MEMBERS OF THE BOARD OF DIRECTORS DIRECT ANY QUESTIONS OR CONCERNS TO THE CHIEF FINANCIAL OFFICER TO BE RESOLVED PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF BARTON CREEK SENIOR LIVING, INC. AND ALL RELATED ORGANIZATIONS MUST CONDUCT THEIR PERSONAL AFFAIRS IN SUCH A MANNER AS TO AVOID ANY POSSIBLE CONFLICTS OF INTEREST WITH DUTIES AND RESPONSIBILITIES AS OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS. ALL NEW BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THIS IS REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE GOVERNANCE AND NOMINATING COMMITTEE TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST PRIOR TO REAPPOINTMENT TO THE BOARD AND OFFICER POSITIONS. ANY DIRECTORS HAVING A CONFLICT OF INTEREST SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION.
FORM 990, PART VI, SECTION C, LINE 19REQUESTS FROM THIRD PARTIES FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE REFERRED TO THE CHIEF FINANCIAL OFFICER. ANNUAL RETURNS AND THE APPLICATION FOR EXEMPTION ARE MADE AVAILABLE FOR THE PUBLIC INSPECTION AND ARE PROVIDED TO INDIVIDUALS WHO REQUEST THEM. COPIES ARE PROVIDED WITHIN 30 DAYS OF A WRITTEN REQUEST OR THE SAME DAY IF REQUESTED IN PERSON.
FORM 990, PART XI, LINE 9:FINANCIAL STATEMENT ROUNDING -590.
FORM 990, PART IV, LINE 24B:INVESTMENT OF TAX-EXEMPT BOND PROCEEDS THE INVESTMENT YIELD DID NOT EXCEED THE YIELD ON THE BONDS, AND THEREFORE, NO REBATE OF ANY ARBITRAGE IS DUE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LIFESPACE COMMUNITIES INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266421068850OPERATION OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 10LIFESPACE INC0
THE LIFESPACE FOUNDATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266421370848SUPPORT OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 12A, ILIFESPACE INC0
LIFESPACE INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266273270337OWNERSHIP & ADMINISTRATION OF RETIREMENT COMMUNITY PROPERTYIA501(C)(3)LINE 12B, II0N/A
LIFESPACE MANAGEMENT INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266273271283MANAGEMENT OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 12B, IILIFESPACE INC0
LIFESPACE SERVICES INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266273271147HEALTH SERVICES AND PROGRAMS FOR RETIREMENT COMMUNITIESIA501(C)(3)LINE 10LIFESPACE INC0
DEERFIELD RETIREMENT COMMUNITY INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266421508960OPERATION OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0
NORTHWEST SENIOR HOUSING CORPORATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266752771278OPERATION OF RETIREMENT COMMUNITIESTX501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0
SENIOR QUALITY LIFESTYLES CORPORATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266364502669OPERATION OF RETIREMENT COMMUNITIESTX501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0
TARRANT COUNTY SENIOR LIVING CENTER INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266208068602OPERATION OF RETIREMENT COMMUNITIESTX501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SENIORITY INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266943287180OPERATION OF RETIREMENT COMMUNITIESTXSENIOR QUALITY LIFESTYLE CORPORATIONC0
PRAIRIE VIEW CLUB OF KANSAS
8101 MISSION RDPRAIRIE VILLAGEKS66208481159378RESIDENT ENTERTAINMENT SERVICESKSLIFESPACE COMMUNITIES INCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd